Gerner, Michael Edward

Gerner, Michael Edward is an individual health care provider with primary practice located at 3 N Leroux St Suite 207, Flagstaff AZ 86001-5539. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gerner, Michael Edward can be contacted via phone (928) 214-0872.

Contact Information

Primary practice address
3 N Leroux St Suite 207 Flagstaff AZ 86001-5539
Phone: (928) 214-0872
Fax: (928) 214-0872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1265 Arizona
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1336200260
LBN Legal business name Gerner, Michael Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336200260 NPPES
Arizona Other 873639 AHCCCS
Arizona MEDICAID 873639 AHCCCS

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